Individual
MRS. KIMBERLY ANNE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 CHILDRENS LN STE 900, NORFOLK, VA 23507-1910
(757) 668-7007
(757) 668-8658
Mailing address
811 REDGATE AVE, NORFOLK, VA 23507-1515
(757) 668-7007
(757) 668-8658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024176907
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024176907
VA
Other
Enumeration date
12/22/2018
Last updated
06/21/2023
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